Active NPI
Marie Jessie Polycarpe, RN
- Community Health Registered Nurse
- Richmond Hill, NY
National Provider Identifier
1447787650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 399953-1
- Practice address
- 11001 84TH Ave
Richmond Hill, NY 11418-1247 - Phone
- (718) 559-0546
- NPI assigned
- May 18, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 399953-1 | NY | Primary |
Addresses
Primary practice location
11001 84TH Ave
Richmond Hill, NY 11418-1247
Mailing address
558 11TH St Apt 1E
Brooklyn, NY 11215-4332
Phone (917) 273-7890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 399953-1 | NY | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495065600000",
"number": "1447787650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "558 11TH ST APT 1E",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112154332",
"telephone_number": "917-273-7890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11001 84TH AVE",
"city": "RICHMOND HILL",
"state": "NY",
"postal_code": "114181247",
"telephone_number": "718-559-0546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLYCARPE",
"first_name": "MARIE",
"middle_name": "JESSIE",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-18",
"last_updated": "2017-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "NY",
"license": "399953-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond Hill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.